,Chapter 01: The Evolution of Nursing Coop e
kz kz kz kz kz kz kz
r: Foundation of Nursing, 9th Edition
kz kz kz kz kz
MULTIPLE CHOICE k z
1. What is a nursing program considered when certified by a state agency?
kz kz kz kz kz kz kz kz kz kz kz
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: k z k z B
Approved means certified by a state agency for having met minimum standards; accredited me
kz kz kz kz kz kz kz kz kz kz kz kz kz
ans certified by the NLN for having met more complex standards. Provisional and exem plifi
kz kz kz kz kz kz kz kz kz kz kz kz kz k z
ed are not terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge kz kz
REF: p. 1 k z kz
0 OBJ: 5 TOP: Nursing programs
kz kz kz k z kz
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
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2. Which of the following must the nurse recognize regarding the health care deliverysystem?
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a. It includes all states.
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b. It affects the illness of patients.
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c. Insurance companies are not involved. kz kz kz kz
d. The major goal is to achieve optimal levels of health care.
kz kz kz kz kz kz kz kz kz kz
ANS: D kz
The nurse must recognize that in the health care delivery system, the major goal is to achie
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
v e optimal levels of health care. The health care system consists of a network of agencies, fa
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz k
zcilities, and providers involved with health care in a specified geographic area. Insurance c o
kz kz kz kz kz kz kz kz kz kz kz kz kz k z
mpanies do have involvement in the health care system. The illness of patients is not nece ss
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arily affected by the health care system.
kz kz kz kz kz kz
DIF: Cognitive Level: Comprehension kz kz
REF: p. 12 OBJ: 7 TOP: k z kz kz kz kz
Healthcare systems kz
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz k z k z
3. What is required by the health care team to identify the needs of a patient and to design care t
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o meet those needs?
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a. The Kardex kz
b. The health care provider’s order sheetkz kz kz kz kz
c. An individualized care plan kz kz kz
d. The nurse’s notes kz kz
ANS: C kz
An individualized care plan involves all health care workers and outlines care to meet the n e
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eds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s n ot
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es do not identify the needs of the patient nor are they designed to assist all members of t
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he health care team to meet those needs.
z kz kz kz kz kz kz kz
DIF: Cognitive Level: Comprehension kz kz REF: p. 13 k z OBJ: 8 | 9 kz kz k z
, TOP: Care plan kz KEY: k z k z Nursing Process Step: Planning kz k z kz MSC: NCLEX: N/A kz kz
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
kz kz kz kz kz kz kz kz kz kz kz kz
a. increased education concerning causes of illness. kz kz kz kz kz
b. improved insurance payments. kz kz
c. decentralized care centers. kz kz
d. increased number of health care givers. kz kz kz kz kz
ANS: A kz
The acute awareness of preventive medicine has resulted in today’s emphasis on education ab
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out issues such as smoking, heart disease, drug and alcohol abuse, weight control, and m ent
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al health and wellness promotion activities. This preventive education has resulted in an e mp
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hasis on wellness, rather than illness. Improved insurance payments, decentralized care c enter
kz kz kz kz kz kz kz kz kz kz kz kz
s, and increased numbers of health care givers did not influence an emphasis on welln ess.
kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
DIF: Cognitive Level: Comprehension REF: p. 12 kz kz k z OBJ: 4 | 8 kz kz k z
TOP: Wellness KEY: Nursing Process Step: N/A k z k z kz k z kz MSC: NCLEX: N/A kz kz
5. What is the most effective process to ensure that the care plan is meeting the needs of t h
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e patient?
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a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B kz
Communication is the primary essential component among the health care team to evaluate an kz kz kz kz kz kz kz kz kz kz kz kz kz
d modify the care plan. Documentation, evaluation, and planning are not primary essential co
kz kz kz kz kz kz kz kz kz kz kz kz kz
mponents to ensure the care plan is meeting the needs of the patient.
k z k z k z k z k z k z k z k z k z k z k z k z
DIF: Cognitive Level: Comprehension kz kz
REF: p. 1 k z kz
7 OBJ: 8 TOP: Communication
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KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz kz kz k z
6. How does an interdisciplinary approach to patient treatment enhancecare?
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a. By improving efficiency of care kz kz kz kz
b. By reducing the number of caregivers
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c. By preventing the fragmentation of patient care
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d. By shortening hospital stay kz kz kz
ANS: C kz
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approac
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h does not improve the efficiency of care, reduce the number of caregivers, or shorten hos pi
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tal stay. kz
DIF: k z Cognitive Level: Comprehension k z kz k z REF: p. 16 kz kz
OBJ: 8 | 9 TOP: k z kz kz k z k z Interdisciplinar
y approach
k z
KEY: Nursing Process Step: N/
kz kz kz k z
A MSC: NCLEX: N/
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A
7. How may a newly licensed LPN/LVN practice?
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a. Independently in a hospital setting kz kz kz kz
, b. With an experienced LPN/LVN kz kz 5%
c. Under the supervision of a health care provider or RN
kz kz kz kz kz kz kz kz kz
d. As a sole health care provider in a clinic setting
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ANS: C kz
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
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DIF: Cognitive Level: Knowledge kz kz
REF: p. 1 k z kz
1 OBJ: 11 TOP: Vocational nursing
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KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz kz kz k z
8. Whose influence on nursing practice in the 19th century was related to improvement of patie
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nt environment as a method of health promotion?
kz kz kz kz kz kz kz
a. Clara Barton kz
b. Linda Richards kz
c. Dorothea Dix kz
d. Florence Nightingale kz
ANS: D kz
The influence of Florence Nightingale was highly significant in the 19th century as she fou g
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ht for sanitary conditions, fresh air, and general improvement in the patient environment. Clar
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a Barton developed the American Red Cross in 1881. Linda Richards is known as the f irst tr
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ained nurse in America, was responsible for the development of the first nursing and h ospital
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
records, and is credited with the development of our present-
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day documentation system.
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Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill a
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nd superintendent of female nurses of the Union Army.
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DIF: k z Cognitive Level: Knowledge kz kz REF: p. 17 k z k z
OBJ: 2 | 4 TOP: k z kz kz k z k z Nursing leader kz
s
KEY: Nursing Process Step: N/ kz kz kz k z
A MSC: NCLEX: N/
kz kz k z
A
9. What document identifies the roles and responsibilities of the LPN/LVN?
kz kz kz kz kz kz kz kz kz
a. NLN Accreditation Standards kz kz
b. Nurse Practice Act kz kz
c. NAPNE Code kz
d. American Nurses’ Association Code kz kz 5%
ANS: B kz
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, th
kz kz kz kz kz kz kz kz kz kz kz kz
e NAPNE Code, and the American Nurses’ Association Code do not identify the roles an
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d responsibilities of the LPN/LVN.
kz kz kz kz
DIF: Cognitive Level: Knowledge REF: kz kz
p. 12 |p. 14 OBJ: 11 TOP: kz kz kz kz kz kz
Rolesand responsibilities kz
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz kz kz k z
10. What is a cost- kz kz kz
effective delivery of care used by many hospitals that allows the LPN/LVN to work with t h
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
e RN to meet the needs of patients?
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a. Focused nursing kz
kz kz kz kz kz kz kz
r: Foundation of Nursing, 9th Edition
kz kz kz kz kz
MULTIPLE CHOICE k z
1. What is a nursing program considered when certified by a state agency?
kz kz kz kz kz kz kz kz kz kz kz
a. Accredited
b. Approved
c. Provisional
d. Exemplified
ANS: k z k z B
Approved means certified by a state agency for having met minimum standards; accredited me
kz kz kz kz kz kz kz kz kz kz kz kz kz
ans certified by the NLN for having met more complex standards. Provisional and exem plifi
kz kz kz kz kz kz kz kz kz kz kz kz kz k z
ed are not terms used in regard to nursing program certification.
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DIF: Cognitive Level: Knowledge kz kz
REF: p. 1 k z kz
0 OBJ: 5 TOP: Nursing programs
kz kz kz k z kz
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz kz kz k z
2. Which of the following must the nurse recognize regarding the health care deliverysystem?
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a. It includes all states.
kz kz kz
b. It affects the illness of patients.
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c. Insurance companies are not involved. kz kz kz kz
d. The major goal is to achieve optimal levels of health care.
kz kz kz kz kz kz kz kz kz kz
ANS: D kz
The nurse must recognize that in the health care delivery system, the major goal is to achie
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
v e optimal levels of health care. The health care system consists of a network of agencies, fa
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz k
zcilities, and providers involved with health care in a specified geographic area. Insurance c o
kz kz kz kz kz kz kz kz kz kz kz kz kz k z
mpanies do have involvement in the health care system. The illness of patients is not nece ss
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
arily affected by the health care system.
kz kz kz kz kz kz
DIF: Cognitive Level: Comprehension kz kz
REF: p. 12 OBJ: 7 TOP: k z kz kz kz kz
Healthcare systems kz
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz k z k z
3. What is required by the health care team to identify the needs of a patient and to design care t
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
o meet those needs?
kz kz kz
a. The Kardex kz
b. The health care provider’s order sheetkz kz kz kz kz
c. An individualized care plan kz kz kz
d. The nurse’s notes kz kz
ANS: C kz
An individualized care plan involves all health care workers and outlines care to meet the n e
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
eds of the individual patient. The Kardex, health care provider’s order sheet, and nurse’s n ot
kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
es do not identify the needs of the patient nor are they designed to assist all members of t
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz k
he health care team to meet those needs.
z kz kz kz kz kz kz kz
DIF: Cognitive Level: Comprehension kz kz REF: p. 13 k z OBJ: 8 | 9 kz kz k z
, TOP: Care plan kz KEY: k z k z Nursing Process Step: Planning kz k z kz MSC: NCLEX: N/A kz kz
4. Patient care emphasis on wellness, rather than illness, begins as a result of:
kz kz kz kz kz kz kz kz kz kz kz kz
a. increased education concerning causes of illness. kz kz kz kz kz
b. improved insurance payments. kz kz
c. decentralized care centers. kz kz
d. increased number of health care givers. kz kz kz kz kz
ANS: A kz
The acute awareness of preventive medicine has resulted in today’s emphasis on education ab
kz kz kz kz kz kz kz kz kz kz kz kz k z
out issues such as smoking, heart disease, drug and alcohol abuse, weight control, and m ent
kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
al health and wellness promotion activities. This preventive education has resulted in an e mp
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
hasis on wellness, rather than illness. Improved insurance payments, decentralized care c enter
kz kz kz kz kz kz kz kz kz kz kz kz
s, and increased numbers of health care givers did not influence an emphasis on welln ess.
kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
DIF: Cognitive Level: Comprehension REF: p. 12 kz kz k z OBJ: 4 | 8 kz kz k z
TOP: Wellness KEY: Nursing Process Step: N/A k z k z kz k z kz MSC: NCLEX: N/A kz kz
5. What is the most effective process to ensure that the care plan is meeting the needs of t h
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
e patient?
kz
a. Documentation
b. Communication
c. Evaluation
d. Planning
ANS: B kz
Communication is the primary essential component among the health care team to evaluate an kz kz kz kz kz kz kz kz kz kz kz kz kz
d modify the care plan. Documentation, evaluation, and planning are not primary essential co
kz kz kz kz kz kz kz kz kz kz kz kz kz
mponents to ensure the care plan is meeting the needs of the patient.
k z k z k z k z k z k z k z k z k z k z k z k z
DIF: Cognitive Level: Comprehension kz kz
REF: p. 1 k z kz
7 OBJ: 8 TOP: Communication
kz kz kz k z
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz kz kz k z
6. How does an interdisciplinary approach to patient treatment enhancecare?
kz kz kz kz kz kz kz kz kz
a. By improving efficiency of care kz kz kz kz
b. By reducing the number of caregivers
kz kz kz kz kz
c. By preventing the fragmentation of patient care
kz kz kz kz kz kz
d. By shortening hospital stay kz kz kz
ANS: C kz
An interdisciplinary approach prevents fragmentation of care. An interdisciplinary approac
kz kz kz kz kz kz kz kz kz k z
h does not improve the efficiency of care, reduce the number of caregivers, or shorten hos pi
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
tal stay. kz
DIF: k z Cognitive Level: Comprehension k z kz k z REF: p. 16 kz kz
OBJ: 8 | 9 TOP: k z kz kz k z k z Interdisciplinar
y approach
k z
KEY: Nursing Process Step: N/
kz kz kz k z
A MSC: NCLEX: N/
kz kz k z
A
7. How may a newly licensed LPN/LVN practice?
kz kz kz kz kz kz
a. Independently in a hospital setting kz kz kz kz
, b. With an experienced LPN/LVN kz kz 5%
c. Under the supervision of a health care provider or RN
kz kz kz kz kz kz kz kz kz
d. As a sole health care provider in a clinic setting
kz kz kz kz kz kz kz kz kz
ANS: C kz
An LPN/LVN practices under the supervision of a health care provider, dentist, OD, or RN.
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
DIF: Cognitive Level: Knowledge kz kz
REF: p. 1 k z kz
1 OBJ: 11 TOP: Vocational nursing
kz kz kz k z kz
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz kz kz k z
8. Whose influence on nursing practice in the 19th century was related to improvement of patie
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
nt environment as a method of health promotion?
kz kz kz kz kz kz kz
a. Clara Barton kz
b. Linda Richards kz
c. Dorothea Dix kz
d. Florence Nightingale kz
ANS: D kz
The influence of Florence Nightingale was highly significant in the 19th century as she fou g
kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
ht for sanitary conditions, fresh air, and general improvement in the patient environment. Clar
kz kz kz kz kz kz kz kz kz kz kz kz k z
a Barton developed the American Red Cross in 1881. Linda Richards is known as the f irst tr
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z kz
ained nurse in America, was responsible for the development of the first nursing and h ospital
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
records, and is credited with the development of our present-
kz k z kz kz k z kz k z kz kz
day documentation system.
kz kz
Dorothea Dix was the pioneer crusader for elevation of standards of care for the mentally ill a
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
nd superintendent of female nurses of the Union Army.
kz kz kz kz kz kz kz kz
DIF: k z Cognitive Level: Knowledge kz kz REF: p. 17 k z k z
OBJ: 2 | 4 TOP: k z kz kz k z k z Nursing leader kz
s
KEY: Nursing Process Step: N/ kz kz kz k z
A MSC: NCLEX: N/
kz kz k z
A
9. What document identifies the roles and responsibilities of the LPN/LVN?
kz kz kz kz kz kz kz kz kz
a. NLN Accreditation Standards kz kz
b. Nurse Practice Act kz kz
c. NAPNE Code kz
d. American Nurses’ Association Code kz kz 5%
ANS: B kz
The LPN/LVN functions under the Nurse Practice Act. NLN Accreditation Standards, th
kz kz kz kz kz kz kz kz kz kz kz kz
e NAPNE Code, and the American Nurses’ Association Code do not identify the roles an
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
d responsibilities of the LPN/LVN.
kz kz kz kz
DIF: Cognitive Level: Knowledge REF: kz kz
p. 12 |p. 14 OBJ: 11 TOP: kz kz kz kz kz kz
Rolesand responsibilities kz
KEY: Nursing Process Step:N/A MSC: NCLEX: N/A
kz kz kz kz kz kz k z
10. What is a cost- kz kz kz
effective delivery of care used by many hospitals that allows the LPN/LVN to work with t h
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
e RN to meet the needs of patients?
kz kz kz kz kz kz kz
a. Focused nursing kz